New Patients

Welcome to Queen City Ear Nose and Throat!

We are excited to have you as a patient and want to make your visit as efficient as possible. If you have not done so already, please download, print and completely fill out these forms to bring with you for your first appointment. Please read the documents carefully and fill out as much as possible before your visit. This will speed up the time it takes to see the doctor(s), and will help us process your insurance and treatment.

If you are a new patient and an independent adult, you will want to download, print, fill out each of the forms 1-5 and bring them with you to your appointment. If you as the parent, will not be able to attend your child's appointment with Queen City Ear Nose and Throat, please be sure to also download and fill out the form 6 "Permission to Disclose and Treat" for their visit to the office.